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https://www.readbyqxmd.com/read/28746763/reclaiming-hope-in-extinction-storytelling
#1
Patrice Kohl
Critics often take conservationists to task for delivering a constant barrage of bad news without offering a compelling vision of the future. Could recent advances in synthetic biology-an optimistic, forward-looking field with a can-do attitude-let conservationists develop a new vision and generate some better news? Synthetic biology and related gene-editing applications could be used to address threats to species. Genetic interventions might also be used in plants to better protect biodiversity in U.S. rangelands and forests...
July 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28734762/breast-cancer-mortality-in-european-union-an-outlook-of-good-news-and-bad-news-in-a-two-speed-europe
#2
EDITORIAL
Giuseppe Curigliano, Fatima Cardoso
No abstract text is available yet for this article.
July 19, 2017: Breast: Official Journal of the European Society of Mastology
https://www.readbyqxmd.com/read/28728610/breaking-bad-news-in-assisted-reproductive-technology-a-proposal-for-guidelines
#3
Daniela Leone, Julia Menichetti, Lorenzo Barusi, Elisabetta Chelo, Mauro Costa, Luciana De Lauretis, Anna Pia Ferraretti, Claudia Livi, Arne Luehwink, Giovanna Tomasi, Elena Vegni
No abstract text is available yet for this article.
July 20, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28719923/-breaking-bad-news-to-cancer-patients-content-communication-preferences-and-psychological-distress
#4
Claudia Gebhardt, Claudia Gorba, Karin Oechsle, Sigrun Vehling, Uwe Koch, Anja Mehnert
Objectives Breaking bad news can be a very distressing situation for both patients and physicians. Physician communication behavior should therefore match patients' communication preferences. The aim of this study was to characterize the content of bad news from the patients' perspective. Patients' preferences for communication of bad news as well as the fit to communication behavior displayed by physicians were also investigated. Finally, consequences of a mismatch between patients' preferences and physician communication were investigated in relation to psychological distress in patients...
July 2017: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/28717767/breaking-bad-news-in-ethnic-settings-perspectives-of-patients-and-families-in-northern-sri-lanka
#5
Chrishanthi Rajasooriyar, Jenny Kelly, Thanikai Sivakumar, Gowcikan Navanesan, Shahini Nadarasa, Madona Hashanthy Sriskandarajah, Sabe Sabesan
PURPOSE: The discussion of a cancer diagnosis and prognosis often is difficult. This study explored the expectations of Tamil-speaking patients with cancer and their families with respect to receiving their cancer diagnosis in northern Sri Lanka. METHODS: This exploratory, descriptive, qualitative study used semistructured interviews. RESULTS: Thematic analysis identified two major themes: communication and information seeking. The findings illustrate a discrepancy between patient preference for direct disclosure of the diagnosis and that of families...
June 2017: Journal of Global Oncology
https://www.readbyqxmd.com/read/28717713/breaking-cancer-bad-news-to-patients-with-cancer-a-comprehensive-perspective-of-patients-their-relatives-and-the-public-example-from-a-middle-eastern-country
#6
Jamal Zekri, Syed Mustafa Karim
PURPOSE: Empowering patients with cancer requires that they be continuously informed about their condition. In some Eastern cultures, this concept is often opposed by caregivers. We aim to compare the extent of disclosure desired by actual and presumed patients with cancer and their relatives in our practice. METHODS: Nine questions reflecting possible bad news communication to patients from diagnosis to the end of life were designed to investigate the extent of desired disclosure and were answered by 100 patients (cohort I) and 103 accompanying relatives (cohort II) in an outpatient setting...
October 2016: Journal of Global Oncology
https://www.readbyqxmd.com/read/28708355/-undergraduate-training-in-physician-patient-communication
#7
Alexandre Berney, Pascale Pécoud, Céline Bourquin, Friedrich Stiefel
In addition to providing psychiatric care to patients with somatic diseases, liaison psychiatry plays an important role in the teaching of the relational aspects of the clinical encounter between patients and clinicians. This series of three articles proposes a critical reflection on this topic, and presents examples of undergraduate and postgraduate teaching programs developed by the psychiatric liaison service at Lausanne University Hospital. This article describes the general context of undergraduate teaching, and focuses on our training with simulated patient of a breaking bad news situation, taking place during the fourth year of medical studies...
February 8, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28706499/valence-dependent-belief-updating-computational-validation
#8
Bojana Kuzmanovic, Lionel Rigoux
People tend to update beliefs about their future outcomes in a valence-dependent way: they are likely to incorporate good news and to neglect bad news. However, belief formation is a complex process which depends not only on motivational factors such as the desire for favorable conclusions, but also on multiple cognitive variables such as prior beliefs, knowledge about personal vulnerabilities and resources, and the size of the probabilities and estimation errors. Thus, we applied computational modeling in order to test for valence-induced biases in updating while formally controlling for relevant cognitive factors...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28700368/regional-anesthesia-and-analgesia-in-cancer-care-is-it-time-to-break-the-bad-news
#9
Mir W Sekandarzad, André A J van Zundert, Chris W Doornebal, Markus W Hollmann
PURPOSE OF REVIEW: There is ongoing controversy regarding the tumor-protective effects of regional anesthesia in patients undergoing cancer surgery. Evidence of up-to-date systematic reviews will be presented alongside recent updates on the effects of opioids and local anesthetics. RECENT FINDINGS: In recent years, the literature regarding the effects of regional anesthesia techniques on cancer recurrence has raised many unanswered questions. Ongoing randomized controlled trials may not be able to shed light on the controversial discussion regarding the tumor protective effects of regional anesthesia because the expected effect size and event rate in those studies may be overstated...
July 11, 2017: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/28697020/good-news-bad-news-an-analysis-of-11-294-gunshot-wounds-gsws-over-two-decades-in-a-single-center
#10
Nathan R Manley, Timothy C Fabian, John P Sharpe, Louis J Magnotti, Martin A Croce
INTRODUCTION: Gun violence is a substantial public health problem accounting for significant physical, psychological and financial costs. While aggregate data sources demonstrate decreasing rates of firearm violence, analyses from individual trauma centers have shown that mortality and injury severity from GSWs are increasing. To evaluate the evolving characteristics of gun violence in our region, we studied all GSWs admitted to our trauma center over a twenty-year period. METHODS: A retrospective analysis of all newly admitted patients with GSWs was performed from 1996 to 2016...
July 8, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28689478/beyond-a-western-bioethics-in-asia-and-its-implication-on-autonomy
#11
Mark Tan Kiak Min
Despite flourishing as a multidisciplinary subject, the predominant view in bioethics today is based on Anglo-American thought. This has serious implications for a global bioethics that needs to be contextualized to local cultures and circumstances in order to be relevant. Being the largest continent on the earth, Asia is home to a variety of cultures, religions and countries of different economic statuses. While the practice of medicine in the East and West may be similar, its ethical practices do differ. Thus, the Western understanding of autonomy may not be wholly applicable in the Asian setting, especially in the setting of breaking bad news, giving consent, determining best interests and deciding on end-of-life care...
July 8, 2017: New Bioethics: a Multidisciplinary Journal of Biotechnology and the Body
https://www.readbyqxmd.com/read/28668291/comparison-of-simulation-based-assessments-and-faculty-ratings-for-general-surgery-resident-milestone-evaluation-are-they-telling-the-same-story
#12
Aimee K Gardner, Kareem AbdelFattah
BACKGROUND: The goal of this article is to examine the role of simulation in documenting resident nontechnical competencies outlined by the general surgery milestones, and compare those assessments to faculty ratings. METHODS: Trainees completed a multiphasic simulation scenario to assess ability to obtain informed consent, lead a preoperative time out, crisis management, communication, and delivering bad news. Assessments from this scenario were compared with ratings of these same competencies collected from clinical rotations...
August 16, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/28666771/physicians-psychophysiological-stress-reaction-in-medical-communication-of-bad-news-a-critical-literature-review
#13
REVIEW
Regina Katharina Studer, Brigitta Danuser, Patrick Gomez
INTRODUCTION: Stress is a common phenomenon in medical professions. Breaking bad news (BBN) is reported to be a particularly distressing activity for physicians. Traditionally, the stress experienced by physicians when BBN was assessed exclusively using self-reporting. Only recently, the field of difficult physician-patient communication has used physiological assessments to better understand physicians' stress reactions. METHOD: This paper's goals are to (a) review current knowledge about the physicians' psychophysiological stress reactions in BBN situations, (b) discuss methodological aspects of these studies and (c) suggest directions for future research...
June 27, 2017: International Journal of Psychophysiology
https://www.readbyqxmd.com/read/28657257/communication-skills-in-obstetrics-what-can-we-learn-from-bereaved-parents
#14
D Nuzum, S Meaney, K O'Donohue
Communicating bad news in obstetrics is challenging. This study explores the impact of how bad news was communicated to parents following a diagnosis of stillbirth. Qualitative in-depth interviews were conducted with 12 mothers and 5 fathers, bereaved following stillbirth at a tertiary maternity hospital where the perinatal mortality rate is 5.2/1000. Data were analysed using Interpretative Phenomenological Analysis. How the diagnosis of stillbirth was communicated had a profound and lasting impact on parents...
February 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28641742/the-good-and-bad-news-about-new-drugs-for-treating-alopecia-areata
#15
D Morgado-Carrasco, E Rodríguez-Lobato, J Riera-Monroig, J Ferrando
No abstract text is available yet for this article.
June 19, 2017: Actas Dermo-sifiliográficas
https://www.readbyqxmd.com/read/28622011/breaking-bad-news-in-veterinary-medicine
#16
Bonnie McCracken Nickels, Thomas Hugh Feeley
The patient-provider relationship in the context of veterinary medicine represents a unique opportunity for studying how bad news is communicated to pet owners by conducting structured interviews with veterinarians. A sample of 44 veterinarians' responses was recorded and content-analyzed in an effort to identify themes among providers in their clinical experience of breaking bad news (BBN). Two coders revealed several themes in the data that were organized by three overarching areas: (1) breaking bad news in general, (2) euthanasia, and (3) social support...
June 16, 2017: Health Communication
https://www.readbyqxmd.com/read/28619440/breaking-bad-news-a-survey-of-radiology-residents-experiences-communicating-results-to-patients
#17
Anand Narayan, Sergio Dromi, Adam Meeks, Erin Gomez, Bonmyong Lee
PURPOSE: The practice of radiology often includes routine communication of diagnostic test results directly to patients in breast imaging and interventional radiology. There is increasing interest in expanding direct communication throughout radiology. Though these conversations can substantially affect patient well-being, there is limited evidence indicating that radiology residents are specifically taught methods to effectively convey imaging results to patients. Our purpose is to evaluate resident experience communicating imaging results to patients...
April 27, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28615002/effect-of-a-simulation-based-workshop-on-breaking-bad-news-for-anesthesiology-residents-an-intervention-study
#18
Vanda Yazbeck Karam, Hanane Barakat, Marie Aouad, Ilene Harris, Yoon Soo Park, Nazih Youssef, John Jack Boulet, Ara Tekian
BACKGROUND: Breaking bad news (BBN) to patients and their relatives is a complex and stressful task. The ideal structure, training methods and assessment instruments best used to teach and assess BBN for anesthesiology residents remain unclear. The purpose of this study is to evaluate the effectiveness of an education intervention for BBN based on immersive experiences with a high fidelity simulator and role-play with standardized patients (SPs). A secondary purpose is to gather validity evidence to support the use of a GRIEV_ING instrument to assess BBN skills...
June 14, 2017: BMC Anesthesiology
https://www.readbyqxmd.com/read/28607214/breaking-bad-news-perceptions-of-pediatric-residents
#19
M G Geeta, P Krishnakumar
The present study evaluated the perceptions and practice of 92 final year pediatric residents with regard to breaking bad news. Only 16% of residents had received any training in communication skills. Majority (65%) of the residents were not comfortable while breaking bad news.
June 4, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28602567/medical-students-reflections-on-emotions-concerning-breaking-bad-news
#20
Asta Kristiina Toivonen, Sari Lindblom-Ylänne, Pekka Louhiala, Eeva Pyörälä
OBJECTIVES: To gain a deeper understanding of fourth year medical students' reflections on emotions in the context of breaking bad news (BBN). METHODS: During the years 2010-2012, students reflected on their emotions concerning BBN in a learning assignment at the end of the communications skills course. The students were asked to write a description of how they felt about a BBN case. The reflections were analysed using qualitative content analysis. RESULTS: 351 students agreed to participate in the study...
June 3, 2017: Patient Education and Counseling
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